Scattergood Foundation

Advancing Innovative Strategies for Change in Behavioral Health

Community Data Roundtable

Name of Innovative Program: 
Community Data Roundtable
Sponsoring Organization
Community Data Roundtable
Name of Innovative Program Lead: 
Dan Warner Ph.D.
E-mail Address of Innovative Program Lead: 
dwarner@communitydataroundtable.org
Project Description: 
Community Data Roundtable is a non-profit organization bringing together stakeholders to implement a mutually beneficial behavioral health outcomes monitoring and decision-support system in Pennsylvania.  Our unique approach has gained the attention of the Robert Wood Johnson Foundation, who recently awarded us a Voices of Quality award for leadership and innovation in data-driven health care.In Pennsylvania, licensed psychologists play a key role in prescribing intensive mental health services.  Currently, a psychologist does not have any formal evidence-based tool to draw upon in recommending one of various community-based programs.  A data-driven decision support tool would improve the ability of psychologists to match clients to the appropriate service in their community, thereby improving clinical outcomes and reducing unnecessary services due to inappropriate prescriptions.In October 2013, we went live in seven Pennsylvania counties with psychologist evaluators using our online tool (the “DataPool”) to collect clinical data on clients evaluated for intensive mental health services.  In the Spring of 2014 we will go live with our first Decision Support Algorithms, which will offer data-driven guidance in service prescription.
Creativity and Innovation: 
CDR overcomes barriers which have heretofore blocked outcomes and decision support implementation.  These barriers are many, but come down to fear that an outcomes system will hinder one's interests as consumers, health care providers, or payers, instead of enhancing them.  CDR addresses these fears directly with tools, processes, and trainings that quickly produce stakeholder benefits.  Consumer advocates are shown that data-driven care need not be "cookie cutter," and that data is essential for ensuring that all care is individualized. Clinicians are shown how CDR tools reduce paperwork and improve care.   Provider business leaders are shown how CDR increases their ability to monitor compliance, as well as demonstrate the medical necessity of their services (A well designed business plan benefits from evidence-based prescribing).  Payers see how CDR tools help them manage care, including systems to monitor the fidelity of the outcomes measures, and ensure that nothing is being gamed.
Leadership: 
The Robert Wood Johnson Foundation has identified CDR as a leader in data-driven medicine through its awarding CDR the Voices of Quality award.  CDR’s model will be featured in a January 13, 2014 RWJF webinar as a model to be emulated across the country.CDR’s model is scalable to the national stage.  At the heart of CDR is the Roundtable Process, which is a structured approach to implementing large-scale decision support/outcomes system, benefitting all stakeholders and the system as a whole.  This process is being developed and shared on the CDR web page: www.communitydataroundtable.org.  CDR regularly participates in state and nation-wide conferences on outcomes and level of care issues, and CDR Executive Director, Dan Warner Ph.D., writes on outcomes and community mental health for various professional news sites.
Sustainability: 
CDR is built on a self-sustaining business model.  Its primary income source is membership dues.  Members receive various CDR services including training, use of the online DataPool, and incorporation into the Roundtable Process.  Currently, CDR members include provider groups, government entities, non-profits, and managed care organizations.  This model should sustain and help CDR grow, as the CDR tools become increasingly ensconced in the decision support processes within the state.Fundamental to CDR is our collaborative approach to outcomes implementation.  Beyond increasing buy-in and trust, this approach makes it possible to keep CDR participation costs much lower than other outcomes/level of care products on the market.  Membership costs in CDR, which include full access to the online DataPool, are a fraction of the costs found in other tools, because the costs are distributed to all the members, and are not all held by one party. 
Replicability: 
CDR’s Roundtable Process could easily be replicated and implemented in other mental health and child-serving systems.
Results/Outcomes: 
First, CDR promises to develop the most comprehensive community behavioral health clinical data in Pennsylvania history.  This alone is a significant outcome.Second, CDR’s decision support algorithms promise to increase prescribing efficiency.  Currently, a major cost-driver in Pennsylvania is a service called Behavioral Health Rehabilitation Services (BHRS).  As of yet, no formal tool exists for differentiating the child needing the lower level of the service from the child needing a more intensive level of it, let alone distinguishing when this service is not an appropriate match at all.  The CDR DataPool greatly informs this process, and will result in a significant change in prescribing practices, especially for the higher level prescriptions of BHRS.  The exact dollar amounts of this savings have been discussed with our current members, and range in the millions. 
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